{"doi":"10.3233/adr-220107","title":"The Prevalence and Trends of Instrumental Activities of Daily Living Impairments in the United States from 2008–2018","abstract":"Background: Instrumental activities of daily living (IADL) are neuropsychological-driven tasks that are linked to cognitive dysfunction. Examining population-based IADL deficits may reveal insights for the presence of these impairments in the United States. Objective: This investigation sought to evaluate the prevalence and trends of IADL impairments in Americans. Methods: A secondary analysis of data from the 2006-2018 waves of the Health and Retirement Study was conducted. The overall unweighted analytic sample included 29,764 Americans aged≥50 years. Respondents indicated their ability to perform six IADLs: manage money, manage medications, use a telephone, prepare hot meals, shop for groceries, and use a map. Persons reporting difficulty or an inability to complete an individual IADL were considered as having a task-specific impairment. Similarly, those indicating difficulty or an inability to perform any IADL were classified as having an IADL impairment. Sample weights were utilized to generate nationally-representative estimates. Results: < 0.001) to 25.4% (CI: 24.5-26.2) in the 2018 wave. Older Americans and women had a consistently higher prevalence of IADL impairments compared to middle-aged Americans and men, respectively. The prevalence of IADL impairments was also highest among Hispanics and non-Hispanic Blacks. Conclusion: IADL impairments have declined over time. Continued surveillance of IADLs may help inform cognitive screening, identify subpopulations at risk of impairment, and guide relevant policy.","journal":"Journal of Alzheimer s Disease Reports","year":2023,"id":358364,"datarank":0.5909805556922939,"base_score":2.4849066497880004,"endowment":2.4849066497880004,"self_citation_contribution":0.37273599746820013,"citation_network_contribution":0.21824455822409375,"self_endowment_contribution":0.37273599746820013,"citer_contribution":0.21824455822409375,"corpus_percentile":66.66666666666667,"corpus_rank":4310,"citation_count":11,"citer_count":10,"citers_with_citation_signal":8,"citers_with_endowment":8,"datacite_reuse_total":0,"is_dataset":true,"is_dataset_confidence":0.5301,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":980302,"name":"Yeong Rhee","orcid":null,"position":1,"is_corresponding":false},{"id":979971,"name":"Jeremy M. Hamm","orcid":"0000-0002-1672-0868","position":2,"is_corresponding":false},{"id":630844,"name":"Kimberly Hammer","orcid":"0000-0003-2328-6964","position":3,"is_corresponding":false},{"id":1108460,"name":"Halli Heimbuch","orcid":"0000-0001-9761-601X","position":4,"is_corresponding":false},{"id":1108822,"name":"Jeremy Holloway","orcid":null,"position":5,"is_corresponding":false},{"id":691166,"name":"Donald A. Jurivich","orcid":"0000-0002-8601-2955","position":6,"is_corresponding":false},{"id":1108823,"name":"Peyton Lahr","orcid":null,"position":7,"is_corresponding":false},{"id":691164,"name":"Ryan McGrath","orcid":"0000-0003-4208-1059","position":8,"is_corresponding":false},{"id":979973,"name":"Kelly Parker","orcid":"0000-0002-9233-2541","position":9,"is_corresponding":false},{"id":342034,"name":"Sheria G. Robinson‐Lane","orcid":"0000-0002-8986-0941","position":10,"is_corresponding":false},{"id":1108824,"name":"Emily Stover","orcid":null,"position":11,"is_corresponding":false},{"id":691165,"name":"Grant R. Tomkinson","orcid":"0000-0001-7601-9670","position":12,"is_corresponding":false},{"id":361353,"name":"Ryan McGrath","orcid":"0000-0002-0644-5524","position":13,"is_corresponding":false},{"id":1108821,"name":"Kelly Knoll","orcid":null,"position":0,"is_corresponding":true}],"reference_count":19,"raw_metadata":null,"created_at":"2026-07-19T01:13:43.629667Z","pmid":"37220616","pmcid":"PMC10200247","fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}